Variation exists in the number and utility of diagnostic tests performed at nephrology referral. Recent data suggest that a large battery of diagnostic tests might be unnecessary and costly for the majority of patients. A risk-based approach to triage could instead help inform which patients will benefit from intensive testing.
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References
Coresh, J. et al. Prevalence of chronic kidney disease in the United States. JAMA 298, 2038–2047 (2007).
Go, A. S. et al. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N. Engl. J. Med. 351, 1296–1305 (2004).
Levey, A. S. et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann. Intern. Med. 139, 137–147 (2003).
Mendu, M. L. et al. The usefulness of diagnostic testing in the initial evaluation of chronic kidney disease. JAMA Intern. Med. http://dx.doi.org/10.1001/jamainternmed.2015.17.
Levey, A. S. et al. The definition, classification, and prognosis of chronic kidney disease: a KDIGO Controversies Conference report. Kidney Int. 80, 17–28 (2011).
Haemmelgarn, B. R. et al. Relation between kidney function, proteinuria, and adverse outcomes. JAMA 303, 423–429 (2010).
Tangri, N. et al. A predictive model for progression of chronic kidney disease to kidney failure. JAMA 305, 1553–1559 (2011).
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Tangri, N., Ferguson, T. Diagnostic testing for new nephrology referrals. Nat Rev Nephrol 11, 325–326 (2015). https://doi.org/10.1038/nrneph.2015.57
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DOI: https://doi.org/10.1038/nrneph.2015.57
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